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ADVANCE Blog for PAs

Will NPs Lead the Health Care Team?

Published May 19, 2008 5:53 PM by Stephen Cornell
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In the Boston Globe, a mention of the NP-led medical team.

Across the nation, patients are so frustrated by lack of access to their doctors that they are going to drug-store clinics for basic care. And primary care doctors are so harried that they are abandoning their practices in droves.

The "medical home" being created at Union Square Family Health and at many doctors' offices across the nation is an attempt to provide an alternative. Such a doctor or nurse-practitioner-led team practice is designed to offer patients care when and where they want it and to give the team the money, the tools, and the time to do more than triage.

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posted by Stephen Cornell
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NPs out number PAs in Retail Healthcare clinics by a ratio of 95% to 5%. Some of the reason for this was a smug attitude by PA leaders concerning "dumbing down the role", another important reason was that the "White Paper" introduced at the last AAPA HOD reinforced the need of the MD/PA Team. In reality, this was still a "Partners in Medicine " philosophy as all clinics have supervising or collaborating physicians be they DO's or MD's. Reason # 3 is that in many states the ratio of supervision is 2:1 whereas the NP ratio, if it exists, is 4:1. The AAPA suggests no number which would be our best deal.

Our profession has done quite a bit of Caboose riding in the last decade and our future scope should be to discover new ideas and run with them to the goal line. We need a few big wins or we can become the second class " Mid Level, Physician Extender or Advanced Practice Clinician."

Bob
Robert Blumm May 20, 2008 2:51 PM

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